WALGREEN CO (NPI# 1376067918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376067918 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #17379 |
| Practice Address |
107 E Main St Wilmington VT 05363 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 8024647575 |
| Practice Fax Number | 8024647428 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2019-04-26 |
| Authorized Official Name | ALYSSA SWEETEN (MANAGER) |
| Authorized Official Telephone | 2177092386 |
| Is Organization Subpart | Y |
| Parent Organization Name | WALGREENS BOOTS ALLIANCE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | BOARD OF PHARMACY | 038.0134037 | 01 |
| VT | 1031608 | 05 |
| Other Name | Type Code |
|---|---|
| Rite Aid #17379 | Doing Business As Name - Organization |
| Walgreens #17379 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306459615 | Walgreen Co | Pharmacy | 23335 Soboba Rd, San Jacinto, CA 92583 | 2020-08-26 |
| 1548873284 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 909 Veterans Blvd, Del Rio, TX 78840-4065 | 2020-08-24 |
| 1013527092 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 433 W Van Buren St Ste 150, Chicago, IL 60607-0433 | 2020-08-05 |
| 1801419650 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1301 N Main St Ste 100rx, Blacksburg, VA 24060-3129 | 2020-05-27 |
| 1699398602 | Walgreen Co | Pharmacy | 262 Danny Thomas Pl Ste 100rx, Memphis, TN 38105-3678 | 2020-05-26 |
| 1861021495 | Walgreen Co | Pharmacy | 1870 W Rio Salado Pkwy Ste 100rx, Tempe, AZ 85281-2695 | 2020-04-06 |
| 1154960722 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 41840 W Maricopa- Casa Grande Hwy, Maricopa, AZ 85138 | 2019-12-31 |
| 1932746047 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 300 W Broughton St, Savannah, GA 31401-3216 | 2019-12-09 |
| 1053955377 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1530 Celebration Blvd Ste 100rx, Kissimmee, FL 34747-5164 | 2019-10-30 |
| 1528600269 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 212a Moore Rd, King, NC 27021-8703 | 2019-10-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | WALGREEN CO. | 161 Washington Street, Suite 1400, Conshohocken, PA 19428 |
| Iowa Business Entities | WALGREEN CO. | 300 Wilmot Road, Deerfield, IL 60015 |
| Virginia Business Entities | WALGREEN CO. | 161 Washington St Ste 1400, Conshohocken, Pennsylvania 19428-2055 |
| Washington State Corporations | WALGREEN CO. | 300 Wilmot Rd, Deerfield, IL 60015-4614 |
| North Carolina Corporations | Walgreen Co. | 2626 Glenwood Avenue, Suite 550, Raleigh, NC 27608 |
| Oregon Corporations, Companies and Business Names | WALGREEN CO. | 300 Wilmot Road, Deerfield, IL 60015 |
| New York State Corporations | WALGREEN CO. | 80 State Street, Albany, New York 12207-2543 |
| Oklahoma Business Registrations | WALGREEN CO. | Attention Tax Department, 200 Wilmot Road, Deerfield, IL 60015 |
| Street Address |
107 E MAIN ST |
| City | WILMINGTON |
| State | VT |
| Zip Code | 05363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477195758 | Carly Rae Wershoven | Pharmacist | 107 E Main St, Wilmington, VT 05363-4000 | 2019-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033227293 | Michele Doucette | Chiropractor | 497 Boyd Hill Rd, Wilmington, VT 05363 | 2006-08-28 |
| 1114943479 | Louis Anthony Beaudette | Dentist | 108 East Main Street, Wilmington, VT 05363 | 2006-07-13 |
| 1740269042 | Joanne C Case | Social Worker | 210 Route 9e, Suite 5, Wilmington, VT 05363 | 2006-01-13 |
| 1922388768 | Thomas Urban Kaufmann | Pharmacist | 107 East Main St, Wilmington, VT 05363 | 2011-08-25 |
| 1346520517 | Gary M Scholl | Pharmacist | 107 East Main St., Wilmington, VT 05363 | 2011-08-19 |
| 1528348752 | Richard Brueckner II | Pharmacist | 107 East Main St, Wilmington, VT 05363-0279 | 2011-08-19 |
| 1811558422 | Emma Rose Boisvert I | Nurse Practitioner | Deerfield Valley Health Center, 30 Route 100 South, Wilmington, VT 05363-0536 | 2019-06-25 |
| 1508899915 | Peter C Park | Family Medicine | 30 Vt Route 100 S, Wilmington, VT 05363-7944 | 2006-07-09 |
| 1740261775 | Deerfield Valley Rescue, Inc. | Ambulance | 34 Route 100 S, Wilmington, VT 05363-7944 | 2005-11-08 |
| 1982911673 | Dagmar Tobits | Family Medicine | 30 Vt Route 100 S, Wilmington, VT 05363-7944 | 2010-09-02 |
| Find all providers in zip 05363 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395483 | Pbrx Health Inc | Pharmacy | 3311 Old Capitol Trl Ste B, Wilmington, DE 19808-6209 | 2020-04-21 |
| 1235676669 | Saigon Express Pharmacy Inc | Pharmacy | 3613 Silverside Rd, Wilmington, DE 19810-5101 | 2017-01-24 |
| 1760843734 | Express Discount Pharmacy LLC | Pharmacy | 4528 Kirkwood Hwy Ste A, Wilmington, DE 19808-5126 | 2016-03-17 |
| 1003202516 | West Pacific Pharmacy Inc | Pharmacy | 505 West Pacific Coast Hwy, Wilmington, CA 90744 | 2015-04-10 |
| 1093107864 | New Hanover Regional Medical Center | Pharmacy | 151 Scotts Hill Medical Dr, Wilmington, NC 28411-7983 | 2015-03-03 |
| 1245582089 | Tps Rx | Pharmacy | 2250 Shipyard Blvd Ste 11, Wilmington, NC 28403-8070 | 2012-10-03 |
| 1154615128 | Behavioral Health Pharmacy Innovations, LLC | Pharmacy | 2033 Corporate Dr, Ste B2, Wilmington, NC 28405-7464 | 2011-06-07 |
| 1386943934 | D Enterprises Peoples Pharmacy | Pharmacy | 2701 N Washington St, Wilmington, DE 19802-3535 | 2011-03-22 |
| 1124112537 | Krx Inc | Pharmacy | 4202 Oleander Dr, Wilmington, NC 28403-6822 | 2006-10-03 |
| 1912098732 | The Medicine Cabinet Inc | Pharmacy | 228 E Anaheim St, Wilmington, CA 90744-4516 | 2006-09-27 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 05363 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.